CommercialPrior AuthMedium impact
23-335 State of Emergency: Severe Winter Storms Impacting Four More Counties
Health Net·CA·Prior Authorization
Effective date
Mar 28, 2023
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization requirements for providers in California counties affected by severe winter storms (Alameda, Marin, Modoc, Shasta). They will shorten approval timeframes, extend existing authorizations, approve out-of-network services when needed, and allow emergency prescription refills during the state of emergency.
Action Required
Immediately: Billing team should contact Health Net Provider Services Center at 844-463-8188 (Ambetter), 888-926-2164 (Ambetter HMO), or 800-641-7761 (Employer Group plans) for guidance on expedited prior authorizations and out-of-network approvals for patients affected by winter storms in Alameda, Marin, Modoc, and Shasta counties. Inform patients they can use emergency prescription line 800-400-8987 for medication needs.